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YMCA of Metropolitan Washigton at First Assembly of God

Inspection · 2024-12-06

Date
2024-12-06
Complaint Related
No
Licensing Inspector
Kimberly Weaver
(571) 596-3662
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-780 Administration
8VAC20-780 Staff Qualifications and Training
8VAC20-780 Physical Plant
8VAC20-780 Staffing and Supervision
8VAC20-780 Programs
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services
8VAC20-820 THE LICENSE
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
8VAC20-790 Subsidy Regulations

During the inspection, the inspector reviewed the areas listed above. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation

Inspector Notes

An unannounced, on-site monitoring inspection was conducted on 12/6/2024. The on-site inspection began at 10:15am and ended at 12:35pm. The inspector reviewed compliance in the areas listed above. There were 29 children and 12 staff present during the inspection. The inspector reviewed 4 child records and 3 staff records on-site. This inspection included document review, interviews, and a tour of the facility.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289-036-B-4
The child day center shall obtain a copy of the results of a criminal history record information
check, a sex offender registry check, and a search of the child abuse and neglect registry
from any state in which the individual has resided in the preceding five years.

Staff #1, employed for more than 6 years, did not have results of an out of state sex
offender registry check or a search of the child abuse and neglect registry.
Plan of Correction: To have staff #1 complete a request for an out of state background check. Moving forward to ensure all requested documents are complete.
Standard 22.1-289.035-A
All applicants for employment and employees shall undergo a background check in accordance with subsection B of the Code of Virginia prior to employment and every five years thereafter.

Staff #1 did not undergo a background check every five years. The results of a criminal history check were obtained 11 months after expiration.
Plan of Correction: To ensure that all background checks are completed prior to hiring and renewed every 5 years in accordance with subsection B of the Code of VA.
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child #1, enrolled for more than 9 months, did not have documentation of immunizations.
Plan of Correction: Child #1 immunizations were received by email on 12/7/24.
Standard 8VAC20-780-140-A
Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance.

Child #1, enrolled for more than 9 months, did not have documentation of a physical examination.
Plan of Correction: Child #1 physical was received by email on 12/7/24.
Standard 8VAC20-780-270-A
Areas and equipment of the center shall be maintained in a clean, safe, and operable condition.

One of the bathrooms had a padded potty seat on the toilet that was ripped, exposing the soft interior.
Plan of Correction: The potty seat was removed during the inspection. A new seat will be purchased.
Standard 8VAC20-780-40-M
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. The list shall be kept dated and kept confidential in each room or area where children are present.

Classroom #1 had an allergy sheet posted without a cover sheet, not keeping the children's information confidential.
Plan of Correction: To ensure teachers have access to documentation of all children allergies and ensure they know that the list of children with allergies is confidential and is not to be visible to unauthorized persons.
Standard 8VAC20-780-430-A
Furnishings, equipment, and materials shall be of an appropriate size for the child using it.

Child #3 was observed in a crib while in a push-up position. Based on the crib recommendations, the mattress was not at the appropriate level for the stage of the child.
Plan of Correction: Child #3 crib mattress was lowered at the appropriate level. Moving forward to be conscious of the mattress levels for the stages of the child.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: documentation of viewing proof of the childs identity and age.

Child #2, enrolled for more than 7 months, did not have documentation that their identity and age had been verified.
Plan of Correction: Moving forward, ensure when viewing proof of identity documents, be sure to sign and date when verifying.
View original record on Virginia Department of Social Services